Printable Forms

Below are links to PRINTABLE FORMS that you will find useful.  In order to use these forms, your computer will need a PDF file reader such as Adobe Reader.  If you do not have Adobe Acrobat or another PDF reader program, you can download one using these links:  Adobe Reader (47Mb)  FOXIT PDF Reader (35Mb)

All new customers must present valid photo ID in person at the office to establish service.

The office is located at 100 N. Buckner Tarsney Rd., Sibley, MO 64088.

NEW USER AGREEMENT form.  Use this form to establish a NEW service with the District.

TRANSFER AGREEMENT form.  Use this form to TRANSFER an existing service into your name.

ACH Authorization form.  https://www.jackson-pwsd16.org/images/userfiles/File/ACH_Authorization.pdf

This form will allow your payment to be automatically deducted from your checking account on the due date.  You will continue to receive a bill as always, it will just be marked Electronic Payment.

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